LinuxForHealth FHIR Implementation Guide
8.0.0 - draft
LinuxForHealth FHIR Implementation Guide - Local Development build (v8.0.0). See the Directory of published versions
| Active as of 2022-11-10 |
{
"resourceType" : "CodeSystem",
"id" : "payer-claim-type",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">absentee<a name=\"payer-claim-type-absentee\"> </a></td><td>Absentee</td></tr><tr><td style=\"white-space:nowrap\">adminfee<a name=\"payer-claim-type-adminfee\"> </a></td><td>Administrative Fee</td></tr><tr><td style=\"white-space:nowrap\">capitation<a name=\"payer-claim-type-capitation\"> </a></td><td>Capitation Payment</td></tr><tr><td style=\"white-space:nowrap\">eap<a name=\"payer-claim-type-eap\"> </a></td><td>Employee Assistance (EAP)</td></tr><tr><td style=\"white-space:nowrap\">emppremcont<a name=\"payer-claim-type-emppremcont\"> </a></td><td>Employee Premium Contribution</td></tr><tr><td style=\"white-space:nowrap\">financial<a name=\"payer-claim-type-financial\"> </a></td><td>Financial information coming from the clinical data set</td></tr><tr><td style=\"white-space:nowrap\">hearing<a name=\"payer-claim-type-hearing\"> </a></td><td>Hearing</td></tr><tr><td style=\"white-space:nowrap\">hra<a name=\"payer-claim-type-hra\"> </a></td><td>Health Risk Appraisal (HRA)</td></tr><tr><td style=\"white-space:nowrap\">lifeins<a name=\"payer-claim-type-lifeins\"> </a></td><td>Life Insurance</td></tr><tr><td style=\"white-space:nowrap\">institutional<a name=\"payer-claim-type-institutional\"> </a></td><td>Institutional; Hospital, clinic and typically inpatient claims</td></tr><tr><td style=\"white-space:nowrap\">ltd<a name=\"payer-claim-type-ltd\"> </a></td><td>Long Term Disability (LTD)</td></tr><tr><td style=\"white-space:nowrap\">medical<a name=\"payer-claim-type-medical\"> </a></td><td>Medical claim; Institutional/Professional unknown</td></tr><tr><td style=\"white-space:nowrap\">oral<a name=\"payer-claim-type-oral\"> </a></td><td>Oral; Dental, Denture and Hygiene claims</td></tr><tr><td style=\"white-space:nowrap\">pharmacy<a name=\"payer-claim-type-pharmacy\"> </a></td><td>Pharmacy; Pharmacy claims for goods and services</td></tr><tr><td style=\"white-space:nowrap\">premium<a name=\"payer-claim-type-premium\"> </a></td><td>Premium Payment</td></tr><tr><td style=\"white-space:nowrap\">premiuminc<a name=\"payer-claim-type-premiuminc\"> </a></td><td>Premium Income (Revenue)</td></tr><tr><td style=\"white-space:nowrap\">professional<a name=\"payer-claim-type-professional\"> </a></td><td>Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting</td></tr><tr><td style=\"white-space:nowrap\">std<a name=\"payer-claim-type-std\"> </a></td><td>Short Term Disability (STD)</td></tr><tr><td style=\"white-space:nowrap\">vision<a name=\"payer-claim-type-vision\"> </a></td><td>Vision; Vision claims for professional services and products such as glasses and contact lenses</td></tr><tr><td style=\"white-space:nowrap\">workercomp<a name=\"payer-claim-type-workercomp\"> </a></td><td>Worker's Compensation</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"payer-claim-type-other\"> </a></td><td>Other</td></tr></table></div>"
},
"url" : "http://linuxforhealth.org/fhir/cdm/CodeSystem/payer-claim-type",
"version" : "8.0.0",
"name" : "PayerClaimTypeCodeSystem",
"title" : "Payer Claim Type Codes",
"status" : "active",
"date" : "2022-11-10T16:00:46+00:00",
"publisher" : "LinuxForHealth Team",
"description" : "Payer codes for the coverage type under which the claim was paid",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"caseSensitive" : true,
"content" : "complete",
"count" : 21,
"concept" : [
{
"code" : "absentee",
"display" : "Absentee"
},
{
"code" : "adminfee",
"display" : "Administrative Fee"
},
{
"code" : "capitation",
"display" : "Capitation Payment"
},
{
"code" : "eap",
"display" : "Employee Assistance (EAP)"
},
{
"code" : "emppremcont",
"display" : "Employee Premium Contribution"
},
{
"code" : "financial",
"display" : "Financial information coming from the clinical data set"
},
{
"code" : "hearing",
"display" : "Hearing"
},
{
"code" : "hra",
"display" : "Health Risk Appraisal (HRA)"
},
{
"code" : "lifeins",
"display" : "Life Insurance"
},
{
"code" : "institutional",
"display" : "Institutional; Hospital, clinic and typically inpatient claims"
},
{
"code" : "ltd",
"display" : "Long Term Disability (LTD)"
},
{
"code" : "medical",
"display" : "Medical claim; Institutional/Professional unknown"
},
{
"code" : "oral",
"display" : "Oral; Dental, Denture and Hygiene claims"
},
{
"code" : "pharmacy",
"display" : "Pharmacy; Pharmacy claims for goods and services"
},
{
"code" : "premium",
"display" : "Premium Payment"
},
{
"code" : "premiuminc",
"display" : "Premium Income (Revenue)"
},
{
"code" : "professional",
"display" : "Professional; Typically, outpatient claims from Physician, Psychological, Chiropractor, Physiotherapy, Speech Pathology, rehabilitative, consulting"
},
{
"code" : "std",
"display" : "Short Term Disability (STD)"
},
{
"code" : "vision",
"display" : "Vision; Vision claims for professional services and products such as glasses and contact lenses"
},
{
"code" : "workercomp",
"display" : "Worker's Compensation"
},
{
"code" : "other",
"display" : "Other"
}
]
}
IG © 2021+ LinuxForHealth Team. Package linuxforhealth.fhir.ig#8.0.0 based on FHIR 4.0.1. Generated 2022-11-10
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